Odokotela abahlinzayo bamathambo baseMayo Clinic banolwazi lokwelapha ngisho nokuqhekeka kwe-distal radial okuyinkimbinkimbi kakhulu. Njengamalungu omtholampilo ohlanganiswe ngokugcwele, odokotela abahlinzayo basebenzisana nabanye ochwepheshe ukuphatha ukunakekelwa kwabantu abanezinkinga ezihambisana nalokhu ezingandisa izingozi zokuhlinzwa kwesandla.
E-Mayo Clinic, ubuchwepheshe obusezingeni eliphezulu busiza ekuthathweni kwezithombe ngesikhathi esifanele zokuphuka kwe-radial distal. Ukuskena kwe-CT kwe-Cone-beam kungenziwa ekamelweni lapho kufakwa khona ama-cast. “Lokho kuthwebula izithombe kusenza sikwazi ukubheka ngokushesha noma yimiphi imininingwane yokulimala, njengokuphuka kwe-articular uma kuqhathaniswa nokuphuka okulula okuphambeneyo,” kusho uDkt. Dennison.
Uma kwenzeka ukwaphuka okuyinkimbinkimbi, izinhlelo zokwelapha zihlanganisa yonke inqubo yokunakekelwa kwemikhakha eminingi. “Ngaphambi kokuhlinzwa siyaqinisekisa ukuthi odokotela bethu bokubulala izinzwa kanye nochwepheshe bethu bokuvuselela bayazi izidingo zeziguli zethu. Sisebenzisa indlela ehlelekile yokulungisa nokululama kwaphuka,” kusho uDkt. Dennison.
Ukuphuka okususiwe kwe-distal radius
I-X-ray ikhombisa ukuphuka okuphukile kwe-distal radius.
Amazinga omsebenzi weziguli kanye nomsebenzi wesandla ofiselekayo yizinto ezibalulekile ekunqumeni ukwelashwa. “Sibheka ngokucophelela izinga lokufuduka kwamalunga ukuze sithole amathuba okuba nesifo samathambo noma ubunzima bokujikeleza kwesandla,” kusho uDkt. Dennison. “Ukuqondanisa umzimba kubalulekile kubantu abasebenzayo abafuna ukuqhubeka nemisebenzi ethile. Njengoba abantu bekhula futhi bengasebenzi kahle, ukukhubazeka kuvame ukubekezelelwa kangcono. Singase sivumele ukuqondanisa okungaqondile kweziguli ezingasebenzi kahle eziseminyakeni yazo yama-70 nama-80.”
Ipuleti nezikulufo zinikeza ukuzinza ngemva kokulungiswa okuvulekile
I-X-ray ethathwe ngemva kokulungiswa okuvulekile kokuphuka ikhombisa ipuleti nezikulufo ukuze kuqinisekiswe ukuqina kuze kube yilapho ithambo selipholile.
Iziguli ezithunyelwe ukuyohlinzwa kabusha zakha ingxenye enkulu yomkhuba wokuphuka kwe-radial we-Mayo Clinic. “Lezi ziguli kungenzeka ukuthi azizange zelapheke kahle ngenxa yokungalungi kahle kwe-cast noma inkinga evela ku-hardware,” kusho uDkt. Dennison. “Nakuba sivame ukusiza lezi ziguli, kungcono ukubona iziguli ngesikhathi sokuphuka kwe-fracture ngoba ukuphuka kwe-fracture kuvame ukuba lula ukwelapha okokuqala.”
Kwabanye iziguli, ukuvuselelwa ngemva kokuhlinzwa nodokotela wezandla kuyisici esibalulekile sokunakekelwa. “Isihluthulelo ukuhlonza abantu abadinga ukwelashwa,” kusho uDkt. Dennison. “Ngemiyalelo, abantu abenze ukuhlinzwa noma ukufakwa kwe-cast okulula bazofinyelela ibanga labo lokuhamba abalifisayo kahle kakhulu phakathi nezinyanga eziyi-6 kuya kweziyi-9 beqede ukwelashwa. Nokho, ukwelashwa kuvame ukusheshisa ukululama komsebenzi - ikakhulukazi kubantu ababefake i-cast noma amabhandeshi okuhlinzwa isikhathi eside - futhi kunganciphisa izinkinga zezandla namahlombe aqinile.”
Ukunakekelwa ngemva kokuhlinzwa kungase kuhlanganise nokudluliselwa ku-Endocrinology. “Sithanda ukuqaphela impilo yamathambo ezigulini ezisengozini yokuphuka kakhulu,” kusho uDkt. Dennison.
Kubo bonke abantu abanezinkinga zokuphuka kwemisipha ye-distal radial, iMayo Clinic ilwela ukubuyisela ukusebenza kwesandla okufiselekayo okufanele. “Kungakhathaliseki ukuthi ukuphuka kuyingxenye ye-acute polytrauma noma umphumela wokuwa ngumuntu omdala noma iqhawe lempelasonto, sinikeza ukunakekelwa okuhlanganisiwe ukuze sivuselele iziguli zethu,” kusho uDkt. Dennison.
Isikhathi sokuthunyelwe: Ephreli-04-2023
